Consider Absorbable Sutures for Lacerations of the Trunk and Extremities

In a randomized trial, absorbable sutures achieved cosmetic results and complication rates similar to those of nonabsorbable sutures in both children and adults.

Absorbable sutures have been demonstrated to be safe and effective for repair of facial lacerations (NEJM JW Emerg Med Apr 25 2008). However, they are typically not used for repair of trunk or extremity lacerations because of the greater tension and lower blood supply in these areas — even though they are recommended to reduce children's pain and anxiety in the emergency department (ED; NEJM JW Emerg Med Dec 7 2012). Researchers randomized a convenience sample of adult and pediatric patients to repair of acute trunk and extremity lacerations in the ED with either absorbable sutures (Vicryl Rapide) or nonabsorbable sutures (Prolene). Cosmetic outcome (the primary outcome) was assessed at 3 months on a visual analog scale by plastic surgeons …

Reviewing Author

Ali S. Raja, MD, MBA, MPH, FACEP

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Board Member); American College of Healthcare Executives – Massachusetts (Board Member)

Ali S. Raja, MD, MBA, MPH, FACEP

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Board Member); American College of Healthcare Executives – Massachusetts (Board Member)

Consider Absorbable Sutures for Lacerations of the Trunk and Extremities

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Reviewing Author